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Bifocal Lens, Sphere over +/-12.00d

Illinois rates for HCPCS V2214

Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens

Rates data updated October 2026.

How much does Bifocal Lens, Sphere over +/-12.00d cost?

$70.79

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $209 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$51.29 to $151
FacilityA hospital or hospital-owned outpatient department$209$141 to $550

How much rates vary

Facilitymedian $209 · 10th to 90th $126 to $1,202Professionalmedian $71 · 10th to 90th $46 to $151
$20$50$100$200$500$1K$2Kfacility $209professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$87.10
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$35.48
Typical High
$43.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.72
Median
$10.72
Typical High
$13.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$7.08
Typical High
$8.71
BCBS
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$251.19
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Hally Health
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$102.33
Typical High
$141.25
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
United
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$47.86
Typical High
$51.29

Where Illinois sits

The same service costs 2.6 times more in Hawaii than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 28th of 51

$70.79

HI $126IN $48.98

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.